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Public Wwu <br />rub a o <br />PROJECT AUTHORIZATION FORM _ r "an I wn S Ilmi <br />Eug G. B <br />RO 400 81M <br />EuBana, 54, OnBan 87482 <br />1)88] -4808 <br />INi)684 -4884 FA% <br />wK.v euaene.er ee� <br />Service ID: 1 0 00 ID PB _ GL 1C _ JE <br />Project Title: Existing Playground Rehab <br />(location and work description) <br />Project Manager /Contact /Private Engineer: Kevin Finney <br />ig: <br />Bike lanes /paths: <br />(widths) <br />(width; <br />rete walks <br />Setback /Curbside <br />ewater Stormwater <br />Landscaping <br />iI Street lights <br />Row required <br />building construction Planning, Other <br />Remodel <br />FUNDING SOURCES: <br />City x Assessments Private Other Departmen <br />Account Code 311 - 9335 - xxxxx- 985222 <br />Fed /State /Count /FAA ( %,FIXED) <br />COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br />This is an A6 capital project. We need to charge staff time against this so are requesting a GJN. <br />vital Project No. <br />Title <br />igned by: <br />:punting by: <br />FOR USE BY ADMINISTRATION ONLY <br />ACK <br />Date: <br />Date: <br />ATTACHMENTS: <br />A PPROVED: <br />Project Manager: <br />Date: <br />Section Manager: <br />Date: <br />Financial Analyst: d <br />Date: I <br />Division Manager: <br />L Date: <br />vital Project No. <br />Title <br />igned by: <br />:punting by: <br />FOR USE BY ADMINISTRATION ONLY <br />ACK <br />Date: <br />Date: <br />ATTACHMENTS: <br />